Individual provider Active NPI

Peter A McPherson, DMD

  • Oral and Maxillofacial Radiology Dentistry
  • Newberry, FL
National Provider Identifier
1033404132
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
8164 Issued in SC
Practice address
1197 NW 133Rd Way
Newberry, FL 32669-0077
Phone
(864) 401-7839
NPI assigned
Jun 16, 2011
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X 8164 SC Primary
Oral and Maxillofacial Radiology Dentistry 1223X0008X DN30382 FL

Addresses

Primary practice location

1197 NW 133Rd Way
Newberry, FL 32669-0077

Mailing address

1197 NW 133Rd Way
Newberry, FL 32669-0077
Phone (864) 401-7839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201001206 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779887492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8164SCMDProfessional Counselor
DN30382FLMDOral and Maxillofacial Radiology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter McPherson, D.M.D., L.L.C. General Practice Current Accepting new patients
Twin Falls Orthodontics LLC Current Accepting new patients

Locations

2430 Hudson Rd
Greer, SC 29650
Phone (864) 896-7940

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1033404132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 NW 133RD WAY",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326690077",
            "telephone_number": "864-401-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 NW 133RD WAY",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326690077",
            "telephone_number": "864-401-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "SC",
            "license": "8164",
            "primary": true
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "FL",
            "license": "DN30382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, FL

Sources for this page

Verify at the official NPI Registry.